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General NPI Number Information
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NPI Number | 1780977074
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Entity Type | Individual
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Provider Name | BRANDY LYNN VICTORY D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1300 PLAZA CT N STE 201
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City | LAFAYETTE
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State | CO
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Zip | 80026-1467
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Country | US
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Telephone | 303-619-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 526 HOMESTEAD ST
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City | LAFAYETTE
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State | CO
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Zip | 80026-9416
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Country | US
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Telephone | 303-619-7766
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | CHR.0007265
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CHR.0007265
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 30312
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License Number State | CA
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